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STD Testing in Richland, IA: Free, Same-Day & Confidential

In Keokuk County, the reported rate of chlamydia is about 53% lower than the US average. Whether symptoms prompt you to seek answers in Richland, Iowa or you want peace of mind, clinics offer the chance to discuss concerns with a provider, and at-home kits let you test on your own time. Options appear below.

Find a lab
  • Clinics, labs & at-home kits compared
  • Free & low-cost options included
  • Backed by CDC, CMS & Census data
  • Editorially reviewed

Available testing centers

STD testing near Richland, IA

5 testing options are listed for Richland, IA. The nearest, RHCHC - Jefferson County Clinic, is about 13.9 miles away. Compare 3 community and public clinics, private labs, and at-home kits below.

How to read these listings

Listings tagged Community health center are federally funded health centers and rural clinics that treat everyone regardless of insurance or ability to pay: required to bill on a sliding fee scale and provide confidential care, and in many states minors may consent to their own STI testing. A Title X tag flags centers funded for confidential family-planning services; confirm current participation when you call.

Source: CMS FQHC & Rural Health Clinic enrollment files (data.cms.gov), refreshed quarterly. Title X status reflects the latest OPA grantee list.

Community health center In Richland

River Hills Community Health Center

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Review sources

  • Google17
  • EasySTD1
Rated 4.4 out of 5 from 18 reviews

River Hills Community Health Center in Richland carries federal qualification that ties its STI screening fees directly to each patient's income: meaning anyone between providers, paying cash, or navigating coverage gaps can access syphilis, gonorrhea, and chlamydia testing on a sliding scale. Appointments are required.

Address
100 West Main Street, Richland, IA 52585
Booking
Appointment required
Opening hours
  • Monday 8:00 AM – 6:00 PM
  • Tuesday 8:00 AM – 6:00 PM
  • Wednesday 8:00 AM – 6:00 PM
  • Thursday 8:00 AM – 6:00 PM
  • Friday Closed
  • Saturday Closed
  • Sunday Closed
Website
Community health center 13.9 miles

RHCHC - Jefferson County Clinic

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Review sources

  • Google91
  • EasySTD5
Rated 3.2 out of 5 from 96 reviews

RHCHC - Jefferson County Clinic in Fairfield carries both FQHC and Rural Health Clinic designations, meaning its sliding-scale fees are tied directly to household income: making syphilis, gonorrhea, and chlamydia screening financially within reach regardless of what a patient earns or whether they carry insurance.

Sliding-scale
Address
2000 South Main Street, Fairfield, IA 52556
Website
Community health center 14.6 miles

RHCHC BH Sigourney Site

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Review sources

  • Google34
  • EasySTD5
Rated 3.4 out of 5 from 39 reviews

RHCHC BH Sigourney Site, in Sigourney, welcomes walk-ins for STI screening without an appointment. Federally qualified status ties fees to a sliding income scale, keeping syphilis, gonorrhea, and chlamydia testing within reach for patients across the pay spectrum in a single visit.

Sliding-scale
Address
300 West Kelley Street, Sigourney, IA 52591
Website
Premium Partner
Labcorp

Labcorp

Results in 1–2 days
?

Review sources

  • Google62
  • EasySTD5
Rated 2.9 out of 5 from 67 reviews
Address
2615 Northgate Drive, Iowa City, IA 52245 43.5 miles away
Opening hours
  • Monday 7:30 AM – 4:00 PM
  • Tuesday 7:30 AM – 4:00 PM
  • Wednesday 7:30 AM – 4:00 PM
  • Thursday 7:30 AM – 4:00 PM
  • Friday 7:30 AM – 4:00 PM
  • Saturday Closed
  • Sunday Closed
  • Chlamydia
  • Gonorrhea
  • Syphilis
  • Herpes
  • Hepatitis A
  • Hepatitis B
  • Hepatitis C
  • Rapid HIV
  • Conventional HIV
See tests & prices

Today's offer: $10 off any test panel, applied automatically at checkout.

Premium Partner
Labcorp at Walgreens

Labcorp at Walgreens

Results in 1–2 days
?

Review sources

  • Google4
  • EasySTD1
Rated 3 out of 5 from 5 reviews
Address
1703 Park Avenue, Muscatine, IA 52761 53.1 miles away
Opening hours
  • Monday 8:00 AM – 4:00 PM
  • Tuesday 8:00 AM – 4:00 PM
  • Wednesday 8:00 AM – 4:00 PM
  • Thursday 8:00 AM – 4:00 PM
  • Friday 8:00 AM – 4:00 PM
  • Saturday Closed
  • Sunday Closed
  • Chlamydia
  • Gonorrhea
  • Syphilis
  • Herpes
  • Hepatitis A
  • Hepatitis B
  • Hepatitis C
  • Rapid HIV
  • Conventional HIV
See tests & prices

Today's offer: $10 off any test panel, applied automatically at checkout.

Free tool · not a clinic

When can I test? Exposure-window calculator

Testing too soon can miss an infection. Enter the date of possible exposure to see the earliest a test can reliably detect each STI.

Find your match in 10 seconds

What matters most to you?

What will it cost? Estimate your STD test

Typical out-of-pocket ranges by option, actual cost depends on which tests you need.

  • Public / community clinic

    Free HIV testing is common

    $0–$25

  • Private lab (self-pay)

    Never billed to insurance

    $24–$200

  • At-home kit

    Mailed to your door, private

    From $49

  • Doctor / urgent care

    Often $0 preventive with insurance

    $0–$50 copay

Every other option

More ways to get tested in Richland, IA

Beyond the dedicated testing centers above: at-home kits by mail, hospital labs certified for STI testing, local clinicians who can order a panel during a regular visit, pharmacies for self-test kits and prescriptions, and online PrEP & treatment.

At-home tests Certified labs Doctors Pharmacies Online PrEP & treatment

Test from home

At-home STD testing in Richland, IA

The nearest testing center is about 14 miles away, if you'd rather skip the trip, an at-home kit ships to Richland, you collect the sample privately, and mail it back to a CLIA-certified lab. Results come online in days, with a clinician available if anything is positive. Same labs as a clinic, no waiting room, and you can read how accurate at-home STD tests are before you order.

Want a free option first? The CDC-supported TakeMeHome program mails free at-home HIV self-test kits, and, in many areas, free STI kits, to your door, with no insurance or payment needed. The paid kits below add broader panels and faster turnaround.

  • In-home collection

    Quest Diagnostics

    Quest Diagnostics

    $79 & up

    Panel:
    8-infection panel incl. chlamydia, gonorrhea, HIV, syphilis, hepatitis & herpes: single tests too
    Sample:
    Quest Mobile: a phlebotomist collects your sample at home
    Results:
    1–3 days, online: physician-reviewed
    • In-home sample collection
    • Nationwide Quest lab network
    • Physician-reviewed results
    • FSA/HSA eligible
    Order online Quest Diagnostics review

  • Best for simplicity & support

    LetsGetChecked

    LetsGetChecked

    $89 & up

    Panel:
    5–6 common STIs incl. chlamydia, gonorrhea, HIV, syphilis & trichomoniasis
    Sample:
    Finger-prick + urine/swab
    Results:
    2–5 days, online
    • 24/7 nurse support
    • Prescription for positives
    • CLIA-certified labs
    • Free shipping both ways
    Order online LetsGetChecked review

  • Best value: single tests

    Everlywell

    Everlywell

    $49 & up

    Panel:
    Chlamydia & gonorrhea, up to a 6-test panel adding HIV, syphilis, trichomoniasis & hep C
    Sample:
    Finger-prick + swab
    Results:
    Days, online
    • Telehealth visit if positive
    • CLIA-certified labs
    • HSA/FSA eligible
    • Subscription savings
    Order online Everlywell review

Every kit uses CLIA-certified labs. At-home testing is for screening; a reactive result should be confirmed and treated by a clinician. Prices and panels shown are illustrative and change often, confirm current details on the provider's site.

Also in the area

Other CLIA-certified labs near Richland, IA

Beyond the public testing sites above, these federally certified (CLIA) labs serve Keokuk County, each lab's town is shown on its card below. Many test through a doctor's order or by appointment rather than walk-in, so call ahead to confirm STD/STI testing and availability before visiting.

  • Keokuk County Hospital and Clinics

    23019 Highway 149, Sigourney, IA 52591

    CMS-certified lab

    • STD testing
    Call Directions

Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Richland. A CLIA certificate records only that a laboratory is federally certified — it does not confirm the site performs STD testing, nor its hours, price or access. Inclusion is not an endorsement; always call to verify.

Local clinicians

Clinicians near Richland, IA who may help arrange STD testing

Beyond dedicated clinics, 58 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Richland. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 2 offer telehealth.

These are registry-listed clinicians, not dedicated STD-testing clinics. CMS records do not independently verify current licensure, testing services, availability, price, or new-patient status. Confirm each detail before booking. Source: CMS Doctors & Clinicians.

Nearby pharmacies

Pharmacies near Richland, IA

Compare the pharmacies closest to Richland, IA. Contact a location directly to confirm pharmacy-counter hours, services, prices, and product availability before visiting.

  • Walmart Pharmacy 12 mi
    Rx pickupAt-home STI kitsHPV & Hep B vaccinesCondoms / EC
    Directions

  • Hy-Vee

    12 mi
    Rx pickupCondoms / EC
    Directions

  • Martin Pharmacy

    12 mi
    Rx pickupCondoms / EC
    Directions

  • Ascent Pharmacy of Iowa

    12 mi
    Rx pickupCondoms / EC
    Directions

  • Summit Pharmacy of Iowa

    13 mi
    Rx pickupCondoms / EC
    Directions

Showing the 5 closest pharmacies to Richland, IA.

Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.

Prevention & treatment

PrEP, prevention & online treatment

Testing is one step. For residents of Richland, telehealth covers the rest: HIV-prevention medication (PrEP) and DoxyPEP to lower future risk, and discreet online treatment if a result comes back positive. All prescribed by licensed U.S. clinicians.

Pricing varies by insurance and changes often, confirm on the provider's site. These services are not a substitute for emergency care.

STD stats & rates

STDs & HIV in Keokuk County: the local picture

How reported STI rates in Keokuk County, the county that includes Richland, compare with Iowa and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~31% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.

#47 of 99 Iowa counties for chlamydia, a higher rate than 53% of the state

Reported STD rates per 100,000, Keokuk County vs Iowa vs U.S.

Keokuk County Iowa U.S. ▲▼ = Keokuk County vs the state average
Infection Keokuk County Iowa United States
Chlamydia
232 23 cases ▼ 46%
426.8 492.2
Gonorrhea
111 11 cases ▼ 5%
116.8 179.5
Syphilis (P&S) — 10.3 15.8
Syphilis (early) — 9.2 16
Syphilis (late/unknown) — 9.9 29.5

Rates per 100,000 population, 2023. Source: CDC NCHHSTP AtlasPlus (county, state & U.S., all-ages basis). Population figures: U.S. Census Bureau ACS. These figures are the latest available surveillance estimates. Bars are scaled to the highest rate shown.

Reading these numbers: reported case rates only count infections that were actually tested for and diagnosed, so they track local screening effort as much as true spread: a higher rate can reflect more testing, a lower one less. Either way, most STIs cause no symptoms, so treat the figures above as context rather than a verdict, and test on the CDC's schedule regardless of how your area looks.

Reported STD rates in Keokuk County over time (per 100,000)

Chlamydia ▼ 36% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
0 200 400 2020202120222023

Between 2020 and 2023 in Keokuk County, chlamydia has fallen from 239.2 to 232 per 100,000 (3%), gonorrhea has risen from 49.8 to 111 per 100,000 (123%), and P&S syphilis has held roughly steady from 10.1 to 10.1 per 100,000.

The 2020 dip reflects reduced pandemic-era screening, not lower transmission. Source: CDC NCHHSTP AtlasPlus (county, state & U.S., all-ages basis).

Community health context

What shapes testing access in and around Richland, IA

Adults uninsured
7.2%
No routine checkup
21.9%
No transportation
7.2%
Binge drinking
19.4%
Frequent mental distress
17.1%
Depression
21.7%
Below poverty line
7.4%
Primary-care ratio
9,914 : 1
Keokuk County

Primary-care shortage score 16 / 26

Medically Underserved Area · IMU 59

Social Vulnerability Index · 6th percentile nationally

Sources: CDC PLACES (ZIP), County Health Rankings, CDC/ATSDR SVI, HRSA HPSA, HRSA MUA/P, Neighborhood Atlas ADI. Lower insurance coverage, fewer routine checkups, and a thin primary-care ratio all raise the value of low-cost public clinics and at-home testing in Keokuk County.

Local HIV snapshot

HIV in Keokuk County (2023)

New diagnoses (2023)
0cases countywide
PrEP users / 100k
108

Keokuk County HIV care continuum (2023)

Keokuk County recorded 0 new HIV diagnoses per 100,000 (2023), against 5.1 statewide and 13.7 nationally. Among Keokuk County residents living with HIV, 100% are in care · 100% are virally suppressed. Early, routine testing is what moves these numbers: it is the entry point to PrEP, treatment, and viral suppression.

Sources: AIDSVu (Emory/Gilead) · CDC AHEAD · CDC AtlasPlus · CDC NCHHSTP AtlasPlus (county care continuum). The CDC recommends everyone aged 13–64 test for HIV at least once: every lab and clinic listed above offers HIV testing, and free rapid HIV testing is available at a local health department.

Pregnant or planning to be? Congenital syphilis is the fastest-rising STI: what to test, and when

Congenital syphilis, passed from parent to baby in pregnancy, is the fastest-rising STI in the country. U.S. cases climbed from 2,163 in 2020 to 3,882 in 2023. It is almost entirely preventable: the CDC recommends a syphilis test at the first prenatal visit, and every clinic and lab listed for Keokuk County tests for syphilis.

Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).

Editorially Reviewed & Fact-Checked · Updated

Reviewed by EasySTD Editorial Team

Compiled and checked by EasySTD's editorial team against CDC and public-health sources. This is educational information, not a substitute for advice from a licensed clinician. Our editorial guidelines →

17 Sources

Local resources & officials

Data & references

Local context

About Richland, IA

Getting tested for sexually transmitted infections in Richland means accepting that the closest clinic with full services may not be in town itself. State Highway 78 and IA 1 South connect residents to testing facilities in surrounding areas, and that geography shapes how people plan their visits. Timing matters when you're traveling beyond the immediate community. The clinics and urgent care centers listed on this page account for this reality, offering routes and hours that work for people juggling work, school, or other commitments.

Young adults in their late teens through their thirties make up a meaningful part of Richland's population, and they're the ones most likely to benefit from routine, confidential screening. That confidentiality is absolute: test results belong to you alone, and no workplace, school, or family member learns anything unless you choose to share it. Knowing that your visit stays private removes one barrier to getting tested when it matters. Testing itself is straightforward and quick.

Whether you're between partners, starting something new, or simply staying on top of your health, the facilities available in and around Richland handle the process without judgment or fanfare. Finding the right appointment takes a phone call or a few clicks, and from there, clarity is just a short drive away.

Getting there

How residents reach STD testing in Richland, IA

Walkability 5.23 / 20 · Least walkable

At 5.23/20 on the EPA walkability index, day-to-day errands in Richland generally mean driving: plan on a car or rideshare to reach a clinic, and check each listing's hours and phone before you go.

Source: EPA National Walkability Index 2021.

Map of 5 STD & STI testing locations in Richland, Iowa, EasySTD

ZIP 52585 snapshot

Residents
849
Median age
36.6
Median income
$73,194

ZIP-level Census figures for the wider 52585 area around Richland: a single ZIP can span several communities, so they describe the area, not Richland alone.

Richland sits in Keokuk County, ZIP 52585. Local context that shapes where residents test:

Local landmarks

  • Bond Hill County Park

Major routes

  • IA 78 (State Highway 78)
  • IA 1 (State Highway 1 South)

Reference

STD testing in Richland, IA: screening, costs & privacy

Everything to know before you test in Keokuk County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Iowa law. If you have symptoms right now, our confidential symptom checker maps them to the tests worth considering.

Who should test, and when CDC screening schedule + each infection's detection window

Who should get tested, and how often

Based on current CDC screening recommendations.

Group Tests How often
Everyone aged 13–64 HIV At least once
Sexually active women under 25 Chlamydia, gonorrhea Every year
Women 25+ with new or multiple partners Chlamydia, gonorrhea Every year
Pregnant people HIV, syphilis, hepatitis B & C, chlamydia Early in pregnancy
Gay & bisexual men (MSM) Chlamydia, gonorrhea, syphilis, HIV Every 3–6 months
Anyone who shares injection equipment HIV, hepatitis B & C At least yearly
All adults at least once Hepatitis C At least once

When to test: STD detection windows

Testing too early can return a false negative, confirm timing with a Richland-area provider.

Infection Earliest reliable test Sample
Chlamydia 1–2 weeks Urine or swab
Gonorrhea 1–2 weeks Urine or swab
Trichomoniasis 1–4 weeks Urine or swab
HIV (NAT / RNA) 10–33 days Blood
HIV (4th-gen Ag/Ab) 18–45 days Blood
HIV (antibody) 3–12 weeks Blood / oral
Syphilis 3–6 weeks Blood
Hepatitis B 3–6 weeks Blood
Hepatitis C 8–11 weeks Blood
Herpes (HSV) 4–16 weeks (antibody); swab a sore Blood / swab
Browse all STD & STI guides
What each STD test costs Medicare reference prices per lab test, a benchmark before you pay out of pocket

These are the federal Medicare reference prices for processing each lab test. Public clinics and the community health centers serving Richland often test free or on a sliding scale; private labs and at-home kits bundle several tests into one fee. Use this as a per-test benchmark before you pay out of pocket, or see the full guide to STD test costs for insurance, free, and at-home options.

Test Reference price CPT / HCPCS
Chlamydia (NAAT) $47.80 87491
Gonorrhea (NAAT) $47.80 87591
Trichomoniasis (NAAT) $47.76 87661
HIV-1/2 antigen/antibody $26.87 87389
HIV-1/2 antibody $22.44 86703
Syphilis (RPR/VDRL) $5.61 86592
Syphilis (treponemal antibody) $17.49 86780
Herpes (HSV NAAT) $47.76 87529
Hepatitis B surface antigen $15.33 87340
Hepatitis C antibody $29.16 86803

Source: Medicare Clinical Laboratory Fee Schedule, CMS, 2025 rates (data.cms.gov). Reference rate for the lab assay only: a clinic visit, sample collection, or a bundled multi-test panel may cost more. Medicaid and most insurers cover STD screening at no out-of-pocket cost.

Confidentiality & consent in Iowa Minor consent and partner treatment (EPT) under state law, plus how to test privately

Two things that actually depend on Iowa law: who can consent, and whether partners can be treated without their own visit. Everything else about testing privately is the same nationwide (see below).

Can a minor consent on their own?

In Iowa, a minor of any age can consent to confidential STI testing and treatment on their own; a parent may be notified only in the case of a positive HIV test result.

Can my partner be treated too? (EPT)

Iowa permits Expedited Partner Therapy (EPT): if you test positive for chlamydia or gonorrhea, your provider can give you medication (or a prescription) to pass to your partner, no separate exam or appointment needed for them.

Keeping a test private works the same in every state. Whether an STD test shows on insurance (the EOB), how to test anonymously, and self-pay options that leave no insurance trail don’t change by location.

Learn more about confidential STD testing in Iowa

Source: Guttmacher Institute, Minors' Access to STI Services; CDC, Legal Status of Expedited Partner Therapy. General information, not legal advice.

Good to Know

STD testing FAQs for Richland, IA

Answers to the questions people ask most before getting tested.

How many testing options are within 30 miles of Richland, IA?

3 testing options are within 30 miles of Richland, IA.

Does Medicaid cover STD testing?

Medicaid generally covers STD testing.

Can I get tested in Richland, IA without insurance?

Yes, community and public clinics test the uninsured, with sliding-scale fees.

Which tests are offered near Richland, IA?

Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.

How common is chlamydia in Keokuk County?

About 232 cases per 100,000 residents (2023), below the Iowa average.

Can someone under 18 get tested in Iowa without a parent?

In Iowa, people under 18 can consent to confidential STD testing and treatment on their own.

How long do results take near Richland, IA?

Lab results typically come back in 1–2 days.

Can trich be treated?

It's cured with antibiotics; treating partners together prevents reinfection.

Should I get tested for herpes near Richland, IA?

The CDC doesn't advise routine herpes testing without symptoms; if you have a sore, a swab of it is the most accurate test.

I had unprotected sex, should I get tested?

Yes, test after the window period, and if HIV exposure is a concern, ask about PEP within 72 hours.

Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.